Brunner & Suddarth's Textbook of Medical-
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Unit 1 Principles of Nursing Practice – NCLEX-Style MCQs
Question 1
A nurse explains to a patient that nursing care includes health
promotion, illness prevention, and assistance with recovery
from illness. Which concept of professional nursing practice is
the nurse describing?
A. Delegated medical care only
B. Holistic nursing practice
,C. Independent diagnostic treatment
D. Technical task performance
Correct Answer: B
Rationale:
Holistic nursing practice addresses the patient’s physical,
emotional, social, and spiritual needs across the continuum of
care. Nursing includes health promotion, disease prevention,
restoration of health, and supportive care. Options A and D are
incorrect because nursing extends beyond tasks and delegated
activities. Option C is incorrect because nurses do not
independently diagnose medical conditions.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 2
A nurse uses current research findings to update patient
teaching about hypertension management. Which nursing
principle is demonstrated?
A. Delegation
B. Evidence-based practice
C. Primary prevention
D. Quality assurance only
Correct Answer: B
,Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to improve
outcomes. Option A is incorrect because delegation refers to
assigning tasks. Option C relates to disease prevention, not
research application. Option D is incorrect because evidence-
based practice extends beyond quality monitoring.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 3
The nurse identifies that a patient’s inability to afford
medications is contributing to poor disease control. Which
factor influencing health is the nurse recognizing?
A. Genetic predisposition
B. Developmental stage
C. Socioeconomic status
D. Acute physiological response
Correct Answer: C
Rationale:
Socioeconomic status significantly affects access to health care,
medications, nutrition, and preventive services. Option A may
affect disease risk but not access to medications. Option B is
, unrelated to financial limitations. Option D does not address
external influences on health.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 4
A newly licensed nurse asks why patient-centered care is
emphasized in professional nursing practice. Which response by
the charge nurse is most appropriate?
A. “It reduces the nurse’s workload during the shift.”
B. “It allows nurses to make all patient decisions
independently.”
C. “It focuses care on the patient’s values, needs, and
preferences.”
D. “It limits patient participation in treatment planning.”
Correct Answer: C
Rationale:
Patient-centered care prioritizes the patient’s individual
preferences, values, and needs while encouraging active
participation in care decisions. Option A is incorrect because
the purpose is not workload reduction. Option B incorrectly
excludes collaboration. Option D contradicts patient-centered
principles.
Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn E.
Bradley
TEST BANK
Unit 1 Principles of Nursing Practice – NCLEX-Style MCQs
Question 1
A nurse explains to a patient that nursing care includes health
promotion, illness prevention, and assistance with recovery
from illness. Which concept of professional nursing practice is
the nurse describing?
A. Delegated medical care only
B. Holistic nursing practice
,C. Independent diagnostic treatment
D. Technical task performance
Correct Answer: B
Rationale:
Holistic nursing practice addresses the patient’s physical,
emotional, social, and spiritual needs across the continuum of
care. Nursing includes health promotion, disease prevention,
restoration of health, and supportive care. Options A and D are
incorrect because nursing extends beyond tasks and delegated
activities. Option C is incorrect because nurses do not
independently diagnose medical conditions.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 2
A nurse uses current research findings to update patient
teaching about hypertension management. Which nursing
principle is demonstrated?
A. Delegation
B. Evidence-based practice
C. Primary prevention
D. Quality assurance only
Correct Answer: B
,Rationale:
Evidence-based practice integrates the best current evidence,
clinical expertise, and patient preferences to improve
outcomes. Option A is incorrect because delegation refers to
assigning tasks. Option C relates to disease prevention, not
research application. Option D is incorrect because evidence-
based practice extends beyond quality monitoring.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 3
The nurse identifies that a patient’s inability to afford
medications is contributing to poor disease control. Which
factor influencing health is the nurse recognizing?
A. Genetic predisposition
B. Developmental stage
C. Socioeconomic status
D. Acute physiological response
Correct Answer: C
Rationale:
Socioeconomic status significantly affects access to health care,
medications, nutrition, and preventive services. Option A may
affect disease risk but not access to medications. Option B is
, unrelated to financial limitations. Option D does not address
external influences on health.
Source:
Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
16th Edition – Unit 1 Principles of Nursing Practice
Question 4
A newly licensed nurse asks why patient-centered care is
emphasized in professional nursing practice. Which response by
the charge nurse is most appropriate?
A. “It reduces the nurse’s workload during the shift.”
B. “It allows nurses to make all patient decisions
independently.”
C. “It focuses care on the patient’s values, needs, and
preferences.”
D. “It limits patient participation in treatment planning.”
Correct Answer: C
Rationale:
Patient-centered care prioritizes the patient’s individual
preferences, values, and needs while encouraging active
participation in care decisions. Option A is incorrect because
the purpose is not workload reduction. Option B incorrectly
excludes collaboration. Option D contradicts patient-centered
principles.
